Fred Banuelos

NPI #1003671389 in Round Rock, Texas

Provider Information

NPI Number
1003671389
Entity Type
Individual
Name
Fred Banuelos
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Feb 16, 2024
Last Updated
Feb 16, 2024

Practice Location

Address
1250 S A W GRIMES BLVD
State
Texas
ZIP Code
78664-2854
Phone
(512) 661-4387

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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